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Intraosseous Venography with Carbon Dioxide Contrast Agent in Percutaneous Vertebroplasty

Noboru Tanigawa1, Atsushi Komemushi, Shuji Kariya, Hiroyuki Kojima and Satoshi Sawada

1 All authors: Department of Radiology, Kansai Medical University, 10-15, Fumizono, Moriguchi, Osaka 570-8507, Japan.



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Fig. 1A. 85-year-old woman with compression fracture of T6 and T7 due to osteoporosis. Frontal (A) and lateral (B) views of intraosseous venography with CO2 show opacification of the intraosseous cleft.

 


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Fig. 1B. 85-year-old woman with compression fracture of T6 and T7 due to osteoporosis. Frontal (A) and lateral (B) views of intraosseous venography with CO2 show opacification of the intraosseous cleft.

 


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Fig. 1C. 85-year-old woman with compression fracture of T6 and T7 due to osteoporosis. Frontal (C) and lateral (D) views of intraosseous venography with iodinated contrast media show opacification of the intraosseous cleft.

 


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Fig. 1D. 85-year-old woman with compression fracture of T6 and T7 due to osteoporosis. Frontal (C) and lateral (D) views of intraosseous venography with iodinated contrast media show opacification of the intraosseous cleft.

 


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Fig. 1E. 85-year-old woman with compression fracture of T6 and T7 due to osteoporosis. Plain lateral image after intraosseous venography with iodine contrast media shows persistence of contrast media in intraosseous cleft. This opacification hindered injection of cement.

 


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Fig. 2A. 73-year-old woman with L1 compression fracture due to osteoporosis. Frontal view of intraosseous venography with CO2 (black and white reversed image) shows vertebral body with spotted opacification. Also note internal vertebral vein and ascending lumber vein.

 


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Fig. 2B. 73-year-old woman with L1 compression fracture due to osteoporosis. Lateral view of intraosseous venography with CO2 (black and white reversed image) shows anterior and posterior internal plexus, lumber segmental vein, and inferior vena cava.

 


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Fig. 2C. 73-year-old woman with L1 compression fracture due to osteoporosis. Frontal (C) and lateral (D) views of intraosseous venography with iodine contrast media show that veins are visualized less, but contrast is superior compared with CO2.

 


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Fig. 2D. 73-year-old woman with L1 compression fracture due to osteoporosis. Frontal (C) and lateral (D) views of intraosseous venography with iodine contrast media show that veins are visualized less, but contrast is superior compared with CO2.

 

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